Director of Claims
关于获得覆盖的 LLC 我们仅需几点击就提供经济有效的覆盖。满足居民，房地产管理人员，机构和分销合作伙伴尽可能简单无的过程。关于角色 · 作为索赔总监，你将在监督和指导我们的主政策 TLL 和内容索赔的索赔管理流程中发挥关键作用。你将负责领导一个索赔调整者团队，确保遵守规定，并处理复杂的索赔和争端。这一职位需要领导技能，广泛的索赔调节经验以及对规则和程序的深入理解。· 领导和团队管理：· 领导，指导和管理处理主规 TLL 和内容索赔的索赔调整者团队。· 培养一个协作性高性能的工作环境。· 为团队成员提供持续培训和发展机会。· 索赔管理：· · 监督复杂索赔的调整，处理和解决。·确保所有索赔按照法规要求和公司政策进行处理。·审查并批准索赔决策和结算。· 遵守法规：· 保持对索赔规定的强有力的理解，包括通知，支付和处理。· 确保遵守州和联邦法规和指导方针。· 保持有关规定变化的最新信息，并实施必要的程序调整。· 争议解决：· 根据需要处理复杂的索赔纠纷和升级问题。· 管理 DOI 投诉，以确保及时有效的解决。· 在提交文件和其他法律程序中代表公司。· 部门发展：· 制定和实施提高部门效率和效率的战略。· 与外部合作伙伴和利益相关者建立和维护牢固关系。·分析和报告索赔趋势，绩效指标以及改善机会。资格 ·商业管理，保险，风险管理或相关领域的学士学位；优先获得高级学位或专业认证 （例如：CPCU,AIC）. ·至少有7-10年的索赔调整经验，至少在管理职位中担任3-5年。可以取代教育要求。·证明管理索赔调节团队的经验。
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About Get Covered LLC
We provide cost-effective coverage with just a few clicks — satisfying residents, property managers, agencies, and distribution partners with a process that is as simple and touchless as possible.
About the role
- As the Director of Claims, you will play a pivotal role in overseeing and directing the claims management process for our Master Policy TLL and Contents Claims. You will be responsible for leading a team of claims adjusters, ensuring compliance with regulations, and handling complex claims and disputes. This position requires a blend of leadership skills, extensive claims adjustment experience, and a deep understanding of claims regulations and processes.
What you'll do
- Leadership and Team Management:
- Lead, mentor, and manage a team of claims adjusters handling Master Policy TLL and Contents Claims.
- Foster a collaborative and high-performance work environment.
- Provide ongoing training and development opportunities to team members.
- Claims Management:
- Oversee the adjustment, processing, and resolution of complex claims.
- Ensure all claims are handled in accordance with regulatory requirements and company policies.
- Review and approve claims decisions and settlements.
- Regulatory Compliance:
- Maintain a strong understanding of claims regulations, including notices, payments, and processing.
- Ensure compliance with state and federal regulations and guidelines.
- Stay updated on changes in regulations and implement necessary adjustments to procedures.
- Dispute Resolution:
- Handle complex claim disputes and escalate issues as necessary.
- Manage DOI complaints, ensuring timely and effective resolution.
- Represent the company in depositions and other legal proceedings as required.
- Department Development:
- Develop and implement strategies to improve departmental efficiency and effectiveness.
- Build and maintain strong relationships with external partners and stakeholders.
- Analyze and report on claims trends, performance metrics, and opportunities for improvement.
Qualifications
- Bachelor’s degree in Business Administration, Insurance, Risk Management, or a related field; advanced degree or professional certifications (e.g., CPCU, AIC) preferred.
- Minimum of 7-10 years of experience in claims adjustment, with at least 3-5 years in a managerial role. Experience may be substituted for education requirements.
- Demonstrated experience managing a team of claims adjusters.
- Strong understanding of claims regulations, notices, payments, and processing.
- Proven track record in handling claim disputes, DOI complaints, and legal depositions.
- Excellent leadership, communication, and interpersonal skills.
Originally posted on Himalayas